Looking at the footage from overcrowded hospitals in Italy and the United States, many of our fellow citizens feel uneasy — and make our health care system with the influx of patients? After all, we have an epidemic of at least two or three weeks later, and we have come (or already came) to the peak incidence. However, the epidemic in Russia is developing still at a slower pace, and are confident that we will avoid the “Italian” scenario. The MHI system in Russia has shown its resilience, I’m sure the head of the Federal fondamentales medical insurance (FOMS) Elena Chernyakova. For the treatment of patients with new infection provided significant funds, and the rest of the patients guaranteed in the same volume, though with correction orders for the execution thereof. Protection of the rights and timely information to patients provide insurance companies that actively help the regional authorities in the fight against the epidemic.On 24 April, the experts told journalists about the changes in the MHI has occurred in recent years in connection with the epidemic and the role of insurance companies in maintaining the guarantee of quality medical care. In accordance with the recommendations of social distancing FOMS, all-Russian Union of insurers and the patients Union held a press conference online. As told the head of the HIF Elena Chernyakova, during the month of March and half of April in the MHI system were important changes made that allowed more efficient to distribute the load on the medical system to successfully cope with the impact of the epidemic. First, in regions were revised collective agreement, in accordance with which insurance companies pay hospitals and clinics medical care that they provide to the population. According to Elena Chernyakova, for the treatment of patients with coronavirus allocated a significant amount from 100 thousand rbl. and above depending on the severity of the disease.
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Second, in connection with the conversion of part of the hospitals for receiving patients with infectious diseases increased the size of advancing healthcare organizations to the hospital did not lack for funds. Thirdly, the regions are entitled to a simplified procedure to adopt in the medical insurance system, private clinics, so they can free at the usual policy to provide medical care to patients, helping to reduce the burden on public hospitals. The main thing that drew the attention of the head of the HIF that the MHI system remained stable. And it was not necessary for this radical change, only “point solutions”. According to the expert, everyone needs to know that, despite the increased load, medical care for all patients is same as before, except for the introduction of a special regime in hospitals and the transfer of plan of examination. Elena Chernyakova special attention is paid to problems of chronic patients. According to her, they have nothing to worry about: “Treatment of patients with cancer, diseases of the cardiovascular and endocrine systems, as well as being on renal replacement therapy (dialysis) will continue to be in full amount”.Of course, this does not mean that the system is working perfectly. Errors and indifference of the people always has a place. In this case, each citizen must understand that he has a protector in the person insurance representative. According to Elena Chernyakova, in terms of the spread of coronavirus infection Institute insurance representatives proved very effective. “I remind you that all members is highly desirable to have at hand the phone number of the insurance company that issued your health insurance” — said the Chairman of the HIF.As told the Vice-President of the Union of insurers Dmitry Kuznetsov, in March, insurance companies have started to take a lot of hits related to the coronavirus. People were concerned and asked a completely different question, often not at all related to the quality of medical care. However, insurance representatives and employees of the call centers helped the experience that they acquired working with patients in dire situations, including with cancer patients. Only last week the insurance company has processed more than 60 thousand messages. Interestingly, the addition of coronavirus citizens asking about getting a new policy, because at the time of the quarantine offices of insurance companies in many regions were closed. Insurers say that the concern about the policy too. “Medical assistance will be provided in any case, even on a temporary certificate, which can be accessed remotely,” recalls Dmitry Kuznetsov.Before the start of the epidemic in Russia insurance companies have shifted to the maximum informing people about how to act in cases of outbreaks of new diseases. Using all channels of communication from personal calls and messages to the videos in the media, the insurance companies were informed about the cancellation of preventive measures and the necessity of adherence to isolation.In addition, the Union of insurers suggested that the governors their assistance, including to communicate with voluntary movements. Insurance companies are not only involved in the acceptance of applications for assistance, but also provide volunteers and vehicles directly involved in the delivery of food packages with limited mobility. In several regions implemented targeted financial support to moderanization, said Dmitry Kuznetsov.But the main task��th insurance companies is to protect the rights of patients who for one reason or another have not received medical care or its quality leaves much to be desired. This was stated by the co-chair of the all-Russian Union of patients Yuri Zhulev. According to him, special treatment need now chronically ill. Because the hospital in which they used regularly to receive medical care, were forced to convert to the reception of infectious patients. In this case, again come to the aid insurers to ensure that medical assistance was provided in any case. “Today I just received a message from one insurance company, which analyzed the case of a patient from the suburbs. Her therapy in a day hospital was wrongly terminated”, — said Yuri Zhulev. “I am very pleased to announce that the results of the intervention of the insurance company in the coming days the treatment this patient will continue. It would seem that these are isolated cases, but for each such case — a human life”, — the expert reminded.Coincidentally at the same time on the same day, which held a press conference, speaker of the Federation Council Valentina Matviyenko in another television interview, criticized the Russian CHI system, which, according to her, needs to be reformed.
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“Our insurance system is such gosudarstvennaia, formal system. You have heard over the period of the epidemic on the insurance companies? [Working in the MHI system — approx. ed.],” said Valentina Matvienko, stressing, however, that this is only her opinion, and in the future need to engage in discussion with experts.Presumably that now in the Federation Council more information about how the system works MLA in a pandemic, and constructive exchange of information between legislators and participants in the system to avoid sharp steps and to develop a common position.
